02-100800 i r
City of Federal Way Building - Commercial Permit #:02 - 100800 - 00 - CO
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
0 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CIRCLE K
Project Address: 33800 1ST WAY S Parcel Number: 926480 0235
Project Description: CO/TI -Removal of interior walls and counters for a quick serve Taco Bell; repair of existing floor
and ceiling panels once walls are removed
Owner Applicant Contractor Lender
TOSCO CORPORATION*TOSCO C JOE HALL CONSTRUCTION INC. JOE HALL CONSTRUCTION INC. NONE
72 CUMMINGS POINT RD JOE HALL CONSTRUCTION INC. JOEHAC*259RT
STAMFORD CT 1317 54TH AVE E JOE HALL CONSTRUCTION INC.
06902-7919 FIFE WA 98424 1317 54TH AVE E NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 437-Commercial alt/add Mechanical No
Permit for Building Shell Only No Plumbing No
i
PERMIT EXPIRES August 21,2002,IF NO WORK IS STARTED.
Permit issued on February 22,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way
Owner or agent: \. Date: 2 Z 2e"3-2—'
3- l Off- L►crrr.ec 4 cwt.S/ •,- izw►% :\-d Lretk -Q4.-ki-vr-e/
;Jr.°. • CONSTRU•ON PERMIT APPLICATION
�s> RY cE'vso APPLICATION NUMBER: O 2-- L 0 b g-(2-o - 00
APPLICATION NUMBER: - I
FEB 2 2 2U(1? APPLICATION NUMBER: - -
**The folio information—Please print(in ink)or type**
CITY
OF FEut
Please note: Electrical,$W ij ystems and Engineering permits may require a separate application.
. • ;'w i''V/_PROPERTY INFORMATION . ,, . :
1 I Co13-350c)13-350c) L Q' - ClITE ADDRESS:
ASSESSOR'S TAX/PARCEL #: ` Z 4 g 0 - 0 2-3 5
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ilhAa
# . 2 - -:;..:•-:-' '/ PROTECT INFORMATION . . .
TYPE OF PROJECT(This application): .BUILDING ❑ PLUMBING LI MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEER NG❑ FIRE PREVENTION SYSTEM
PROJECT D SCRIPTION(Provide detailed description): .y $ 1L-,ft) I, 1i kyz_., \,-) Ai t, ,
tp
�- I - L _.. k) Tio".: ,I- ftu,_ , c IL-1 tet_0° " ..
. .VI 4A. tArQ Ce<<1►� 1/14A-4474A-447 ctc..Z f..t'�‘ ‘40--e‘40--e‘40--eQ .,�-I^^_€54 >4 k 7 C 41 IAD 11,'\ C
PROJECT NAME:
67 Vete- LC
PEOPLE INFORMATION
PROPERTY OWNER: N LE$ (AY�IM�PHONE: ^ _ 2,14,
M7„,,
ILI GADDRESS EET AOORESS;CITY,STATE, ��J(,�J `J�'111���/J�/b
391 , 5fitic °i �-
CONTRACTOR: ' NAME: 461„.L., DAYTIME PHONE:
' - tom, Co 21.5c, (2c,5) 822--631
MAILtN5 ADDRESS(STREET A SS;CIT JUa ZIP): C Vii2E
t 014-c1,54-24-
p) r%9424 EVENING PHONE: -
CITY OF FEDERAL WAY BUS NESS LICENSE NUMBER: twt 1 FAX NUMBER
- - a-.433 ) -6920
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NA DAYTIME PHONE:
CIP tifit VI_L 2_, (-2_ 3)9-2_-2-- - o361
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT '� OTHER( DESCRIBE): G*-"r"U ( ) -
l E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT 6`..CONTRACTOR
. `.1/ -DETAILED BUILDING INFORMATION
EXISTING USE:? 11-0 ill-5 Al r EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: .a.44 .€. PROPOSED VALUATION FOR IMPROVEMENTS: $ E......;- 9a...)0]
,,�-^
�- -
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 111 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION O•* • .
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• ■ PROJECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEME
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture -
MECHANICAL /
AIR HAND. G UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S), MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) •S PIPE OUTLET(S) HEAT SOURCE: IA ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) ._.,_.._.--- — LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. •CUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WAS' • •CHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CL• a S) MISC.( )
INTERCEPTOR(S) SI MP(S)
• P.i DISCLAIMER/SIGNATURE BLOCK - ,...
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to pet-form the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplie to the city as a part of this application.
NAME/TITLE: 'p e k 0,�5 y !l• {, DATE: 72 -2.9D2--
D
Z
❑ PROPERTY OWNERAPPLICANT hiCONTRACTOR
FOR OFFICE USE ONLY:,
❑'NEW CI ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION:; BUILDING,SHELL ONLY? ❑ YES 0 N
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION i TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑"NO_
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffedera Tway.Com